CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Samaritan Hospital of Troy, New York

Billing Code: 451 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$35,190
about 1.5× the $23,504 Medicare rate · typically $20,458–$70,229
modeled estimate · not a bill or quote
What this hospital charges insurers
$69,412
Well above the fair price
about $34,222 over the fair price · 3.0× Medicare
Medicare pays $23,504 Fair price $35,190 This hospital $69,412 Cash price $21,719

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $24,445 Priciest $69,412

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $35,190 (about 1.5× the $23,504 Medicare rate). Samaritan Hospital of Troy, New York charges insurers about $69,412, or about $21,719 in cash — well above the fair price. Located in Troy, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $35,190. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $31,754 - $115,813 135%
Blue Cross Blue Shieldmajor $30,533 - $31,156 130%
Aetnamajor $32,975 - $69,412 140%
Fidelis Care $56,081 239%
GEHA $69,412 295%
Harvard Pilgrim $115,813 493%
Medical Mutual $69,412 295%
+ 14 smaller / regional plans $31,156 - $89,779
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2215 Burdett Avenue, Troy, NY 12180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals